بررسی تأثیر اصلاح تکنیک بر فعالیت عضلات منتخب در مردان فعال مبتلا به پرونیشن عملکردی مچ پا حین عملکرد فرود

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشگاه خوارزمی

2 گروه علوم زیستی دانشگاه پالاسکی چک

3 استادیار گروه بیومکانیک دانشگاه خوارزمی

چکیده

زمینه و هدف: مبتلایان به پرونیشن مچ پا که به شکل ویژه عوامل درونی خطرساز آسیب اندام تحتانی را به همراه دارند، بررسی استفاده از پارامترهای کنترل حرکتی و مشاهده اثر بخشی آن در اصلاح حرکت و پیشگیری از آسیب این افراد در شرایط نزدیک به فعالیت ورزشی و همراه خستگی محیطی و موضعی می تواند یافته سودمندی در جهت کاهش خطرپذیری آسیب این افراد باشد.
روش بررسی: طرح تحقیق حاضر از نوع نیمه تجربی می‌باشد. 20 مرد جوان فعال با دامنه سنی و مبتلا به پرونیشین مچ پا در یک پروتکل خستگی عملکردی اندام تحتانی شرکت متعاقبا تست فرود از جعبه 30 سانتی متری و ارزیابی الکترومایوگرافی عضله همسترینگ را در چهار زمان بدون مداخله و بدون خستگی، با مداخله و بدون خستگی، بدون مداخله و با خستگی و با مداخله همراه خستگی انجام دادند.
یافته ها: نتایج تحلیل واریانس اندازه گیری مکرر نشان دارد که بین فعالیت عضلانی در زمان های بدون مداخله و بدون خستگی، با مداخله و بدون خستگی و همچنین با مداخله همراه خستگی تفاوت معنادار (p=0.001) وجود دارد و بین زمان های بدون مداخله و بدون مداخله همراه خستگی تفاوت معناداری (p>0.05) دیده نشد.
نتیجه‌گیری: به نظر می رسد اصلاح تکنیک فرود می تواند با تغییر فعال سازی عضله همسترینگ طبق فاکتور های کاهنده اثبات شده خطر آسیب زانو، مچ و نهایتا تنه را در مردان مبتلا به پرونیشن عملکردی مچ پا کاهش دهد.

کلیدواژه‌ها


1-Wulf G. Attentional focus and motor learning: A review of 10 years of research. Gabriele Wulf on attentional focus and motor learning [Target article] E-Journal Bewegung und Training. 2007;1:4-14.
2-Magill RA, Anderson DI. Motor learning and control: Concepts and applications: McGraw-Hill New York; 2007.
3-Wulf G, Shea C, Park J-H. Attention and motor performance: preferences for and advantages of an external focus. Research quarterly for exercise and sport. 2001;72(4):335-44.
4-De la Cruz B, García C, Sánchez M, Albornoz M, Espejo L, Domínguez-Maldonado G. Therapeutic physical exercise for lower limb overpronation in young athletes. European Journal of Integrative Medicine. 2014.
5-Sahrmann S. Diagnosis and treatment of movement impairment syndromes: Elsevier Health Sciences; 2002.
6-Diekfuss JA, Rhea CK, Schmitz RJ, Grooms DR, Wilkins RW, Slutsky AB, et al. The Influence of Attentional Focus on Balance Control over Seven Days of Training. Journal of motor behavior. 2018:1-12.
7-Gokeler A, Benjaminse A, Seil R, Kerkhoffs G, Verhagen E. Using principles of motor learning to enhance ACL injury prevention programs. Sports Orthopaedics and Traumatology. 2018;34(1):23-30.
8-Cunningham JB, McCrum-Gardner E. Power, effect and sample size using GPower: practical issues for researchers and members of research ethics committees. Evidence-Based Midwifery. 2007;5(4):132-7.
9-Faul F, Erdfelder E, Lang A-G, Buchner A. G* Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior research methods. 2007;39(2):175-91.
10-Diekfuss JA, Janssen JA, Slutsky AB, Berry NT, Etnier JL, Wideman L, et al. An external focus of attention is effective for balance control when sleep-deprived. International Journal of Exercise Science. 2018;11(5):84-94.
11-Gokeler A, Benjaminse A, Welling W, Alferink M, Eppinga P, Otten B. The effects of attentional focus on jump performance and knee joint kinematics in patients after ACL reconstruction. Physical Therapy in Sport. 2015;16(2):114-20.
12-Benjaminse A, Welling W, Otten B, Gokeler A. Transfer of improved movement technique after receiving verbal external focus and video instruction. Knee Surgery, Sports Traumatology, Arthroscopy. 2018;26(3):955-62.
13-Welling W, Benjaminse A, Gokeler A, Otten B. Enhanced retention of drop vertical jump landing technique: a randomized controlled trial. Human movement science. 2016;45:84-95.
14-Welling W, Benjaminse A, Gokeler A, Otten B. RETENTION OF MOVEMENT TECHNIQUE: IMPLICATIONS FOR PRIMARY PREVENTION OF ACL INJURIES. International journal of sports physical therapy. 2017;12(6):908.
15-Clark M, Lucett S. NASM essentials of corrective exercise training: Lippincott Williams & Wilkins; 2010.
16-Morrison SC, Ferrari J. Inter-rater reliability of the Foot Posture Index (FPI-6) in the assessment of the paediatric foot. Journal of foot and ankle research. 2009;2(1):26.
17-Stegeman D, Hermens H. Standards for surface electromyography: The European project Surface EMG for non-invasive assessment of muscles (SENIAM). Enschede: Roessingh Research and Development. 2007:108-12.
18-Redmond AC, Crane YZ, Menz HB. Normative values for the foot posture index. Journal of Foot and Ankle research. 2008;1(1):6.
19-Redmond AC, Crosbie J, Ouvrier RA. Development and validation of a novel rating system for scoring standing foot posture: the Foot Posture Index. Clinical biomechanics. 2006;21(1):89-98.
20-Cortes N, Greska E, Kollock R, Ambegaonkar J, Onate JA. Changes in lower extremity biomechanics due to a short-term fatigue protocol. Journal of athletic training. 2013;48(3):306-13.
21-McLean SG, Fellin RE, Suedekum N, Calabrese G, Passerallo A, Joy S. Impact of fatigue on gender-based high-risk landing strategies. Medicine and science in sports and exercise. 2007;39(3):502-14.
22-Jones MT, Matthews TD, Murray M, Van Raalte J, Jensen BE. Psychological correlates of performance in female athletes during a 12-week off-season strength and conditioning program. The Journal of Strength & Conditioning Research. 2010;24(3):619-28.
23-Gellish RL, Goslin BR, Olson RE, McDONALD A, Russi GD, Moudgil VK. Longitudinal modeling of the relationship between age and maximal heart rate. Medicine and science in sports and exercise. 2007;39(5):822-9.
24-Sahrmann S. Movement system impairment syndromes of the extremities, cervical and thoracic spines: Elsevier Health Sciences; 2010.
25-Andrieux M, Danna J, Thon B. Self-control of task difficulty during training enhances motor learning of a complex coincidence-anticipation task. Research quarterly for exercise and sport. 2012;83(1):27-35.
26-Chiviacowsky S, de Medeiros FL, Kaefer A, Wally R, Wulf G. Self-controlled feedback in 10-year-old children: higher feedback frequencies enhance learning. Research Quarterly for Exercise and Sport. 2008;79(1):122-7.
27-Ebben WP, Fauth ML, Petushek EJ, Garceau LR, Hsu BE, Lutsch BN, et al. Gender-based analysis of hamstring and quadriceps muscle activation during jump landings and cutting. The Journal of Strength & Conditioning Research. 2010;24(2):408-15.
28-Murley GS, Menz HB, Landorf KB. Foot posture influences the electromyographic activity of selected lower limb muscles during gait. Journal of foot and ankle research. 2009;2(1):35.
29-Vance J, Wulf G, Töllner T, McNevin N, Mercer J. EMG activity as a function of the performer's focus of attention. Journal of motor behavior. 2004;36(4):450-9.
30-Urabe Y, Kobayashi R, Sumida S, Tanaka K, Yoshida N, Nishiwaki GA, et al. Electromyographic analysis of the knee during jump landing in male and female athletes. The Knee. 2005;12(2):129-34.
31-Colby S, Francisco A, Yu B, Kirkendall D, Finch M, Garrett W. Electromyographic and kinematic analysis of cutting maneuvers implications for anterior cruciate ligament injury. The American journal of sports medicine. 2000;28(2):234-40.
32-Padua DA, Arnold BL, Perrin DH, Gansneder BM, Carcia CR, Granata KP. Fatigue, vertical leg stiffness, and stiffness control strategies in males and females. Journal of Athletic Training. 2006;41(3):294.
33-Jeong J, Cho W, Kim Y, Choi H, editors. Recognition of lower limb muscle EMG patterns by using neural networks during the postural balance control. 3rd Kuala Lumpur International Conference on Biomedical Engineering 2006; 2007: Springer.
34-Blackburn JT, Norcross MF, Cannon LN, Zinder SM. Hamstrings stiffness and landing biomechanics linked to anterior cruciate ligament loading. Journal of athletic training. 2013;48(6):764-72.
35-Li G, Rudy T, Sakane M, Kanamori A, Ma C, Woo S-Y. The importance of quadriceps and hamstring muscle loading on knee kinematics and in-situ forces in the ACL. Journal of biomechanics. 1999;32(4):395-400.
36-Withrow TJ, Huston LJ, Wojtys EM, Ashton-Miller JA. Effect of varying hamstring tension on anterior cruciate ligament strain during in vitro impulsive knee flexion and compression loading. The Journal of Bone & Joint Surgery. 2008;90(4):815-23.
37-Li G, Papannagari R, E Defrate L, Doo Yoo J, Eun Park S, J Gill T. Comparison of the ACL and ACL graft forces before and after ACL reconstruction an in-vitro robotic investigation. Acta orthopaedica. 2006;77(2):267-74.
38-Wu C, Noorani S, Vercillo F, Woo SLY. Tension patterns of the anteromedial and posterolateral grafts in a double‐bundle anterior cruciate ligament reconstruction. Journal of Orthopaedic Research. 2009;27(7):879-84.
39-Woo SL-Y, Hollis JM, Adams DJ, Lyon RM, Takai S. Tensile properties of the human femur-anterior cruciate ligament-tibia complex The effects of specimen age and orientation. The American journal of sports medicine. 1991;19(3):217-25.
40-Markolf KL, Burchfield DM, Shapiro MM, Shepard MF, Finerman GA, Slauterbeck JL. Combined knee loading states that generate high anterior cruciate ligament forces. Journal of Orthopaedic Research. 1995;13(6):930-5.
41-Hewett TE, Johnson DL. ACL prevention programs: fact or fiction. Orthopedics. 2010;33(1):36-9.
42-Amini O, Samami N. Comparing the Effect of Functional Fatigue on Dynamic Balance in Males with Different Somatotypes. Tabari Biomedical Student Research Journal. 2016;2(2):26-35.
43-Friel K, McLean N, Myers C, Caceres M. Ipsilateral hip abductor weakness after inversion ankle sprain. Journal of athletic training. 2006;41(1):74.
44-Kandel ER, Schwartz JH, Jessell TM. Principles of neural science: McGraw-Hill New York; 2000.
45-Kamibayashi K, Muro M. Modulation of pre-programmed muscle activation and stretch reflex to changes of contact surface and visual input during movement to absorb impact. Journal of Electromyography and Kinesiology. 2006;16(5):432-9.
46-Lephart SM, Fu FH. Proprioception and neuromuscular control in joint stability: Human Kinetics Champaign, IL; 2000.
47-Santello M. Review of motor control mechanisms underlying impact absorption from falls. Gait & posture. 2005;21(1):85-94.
48-McKinley P, Pedotti A. Motor strategies in landing from a jump: the role of skill in task execution. Experimental brain research. 1992;90(2):427-40.
49-Wikstrom EA, Tillman MD, Schenker SM, Borsa PA. Jump-landing direction influences dynamic postural stability scores. Journal of Science and Medicine in Sport. 2008;11(2):106-11.
50-Santello M, McDonagh M. The control of timing and amplitude of EMG activity in landing movements in humans. Experimental Physiology. 1998;83(6):857-74.